HomeMy WebLinkAbout36489-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
7/31/2011
CERTIFICATE OF OCCUPANCY
No: 35097
Date: 7/31/2011
THIS CERTIFIES that the building
Location of Property:
SCTM#: 473889
Subdivision:
ELECTRICAL
24260 Route 25, Orient,
Sec/Block/Lot:
18.-5-18.3
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
6/10/2011 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
Lot No.
filed in this officed dated
36489 dated 6/20/2011
overhead electric service change for barn.
The certificate is issued to
Caufield, Edward & Janice, Newman
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36489 6/13/11
ut orized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, dchert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF 8OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Ed Caufled
24-1-28 Main Rd (~o~c(~)~C)) City: Orient St: NY Zip: 11957
~ddress:
3uildingPermit#: ,'~ t~.~.t-/[~:~ ~ Section: I(:~ Block: ~_~ Lot: /~.~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Arthur Ruroede Elec License No: 2334-e
SITE DETAILS
Office Use Only
Residential I~ Ind°°r I~ Basement [~ Service Only [~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: service change to barn-100a overhead
Ceiling Fixtureserr ,~~l HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur Pumps
Emergency Fixture~ Time Clocks
Exit Fixtures I I TVSS
Inspector Signature:
Date: June 13 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36489
Permission is hereby granted to:
Caufield, Edward & Janice, Newman
205 Willets Ave
West Hempstead, NY 11552
mo~
Electric service change in barn.
Date: 6/20/2011
At premises located at:
24260 Route 25, Orient
SCTM # 473889
Sec/Block/Lot # 18.-5-18.3
Pursuant to application dated
To expire on 12/19/2012.
Fees:
6/10/2011 and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
--""-~ ~ "/'own
APPLICATION FOR ELECTRICAL INSPECTION,
JOBSffrE INFORMATION:
*Ad~ress:
· *Cross Street:
*Phone No.:
Permit No.:
,',
Tax Map District: .1000
(*Indicates. required information)
Section: . · Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Prin~ Clearly)
*Is Job ready for Inspection:
you nc~-"J a Temp Certifiee~.e:
Temp-lnformation ( f~ded)-
*Service Size: ' ~
*New Service: Re-connect
Additional Information:
~)1 NO
Rough In' Final..
3Phase ~ 150. 200 300: 35~0__ 400 ' o~her
Undergmun"'d~' Numl~er~ef Met;m ~-.,ge 6; se~(o~erh~
PAYMEN1; DUE WI~~ON ~
~;ce Oo~ ~ poi,/ ~7~ L
Towa Hall ,*tonex
M,375 M,~ Ro~i
P,O,.Box 1179
· .So.old, ~ 11971~)g59
BUn nn~ D~'M~r
· ' TOWN OF SOUTHOLn
APPLICATION FOR ELECTRICAL INSPECTION
i
REQUESTEDBY:, '" r~l//~t- ?Z~.i'~'~r~ Date:
ICompany Name: ' -
No.:
JOBSITE INFORMATION:
(*Indicates required information)
· *Cross Street:
Permit NO.:
1000 Section: .I ~; ' Block:
*BRIEF DESCRIPTION OF WORK (Please Print. Cleady)
(Please Cimle Alt That .Apply)
*Is Job ready for Inspection:
*Do you needs Temp Certificate:
Temp'lnformation (If needed}
*Service SiZe: ' ~
*New Service: Re-connect
Additional Information:
~1 NO Rough In" *'
Flna!
3Phase ~ 150 200 3~0 350_ 400 'Other
PAYMENT DUE WIT~ ~-~